| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.47 | $23.47 | $23.47 | |
Aetna
| Professional | $15.04 | $21.59 | $23.47 | |
BCBS
| Professional | $24.66 | $24.66 | $30.83 | |
Medcost
| Facility | $15.12 | $23.47 | $36.90 | |
Medcost
| Professional | $9.78 | $9.78 | $9.78 | |
United
| Professional | $8.52 | $19.46 | $25.02 |